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fl ■ From:AEI COn..Itent5 • 408 559 7601 06/9015 13:31 #675 P.001 /001 <br /> (■FATE RECEIVED EHD LOG NUMBER <br /> r SAN JOAQUIN COUNTY <br /> �EC'D JUN 0 2 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Max Martinez BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 3880 S. Bascom Avenue CITY/STATE/ZIP:San Jose, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE(2): FACSIMILE:-408-559-7601 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOXTO EXPEDITE REQUEST-$130 FEE(CAS R CHECK ONLY)-REQUEST PROCESSED IN 3/BUSINESS DAYS 6A C' <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City _ ❑Unit 1 <br /> 1. 1111 Navy Drive Stockton I rn y 5 <br /> . 1240 Navy Drive Stockton < N 0 rA <br /> 3- 1055 S. Stockton Street Stockton I r^ W <br /> 4. 1137 S. Stockton Street Stockton Unit 3 <br /> 5. n:d Ito, <br /> 6. Unit 4 <br /> 7. �nOv dtl ILj Ftiirg ani I� <br /> 8. Owl-- <br /> l- _ ❑Unit S <br /> 9. rr <br /> 10. I]Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ElNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY L1 SOLID WASTE FACILITYIVEHICLE <br /> 'OTHER CLEANUP SITE(NON-LOP) HOUSING AB ❑ATEMENT WASTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) [_1FOOD FACILITY El DAIRY <br /> BOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL E]PUMPER TRUCKIYARDICHEMIcAL TOILETS <br /> TIERED PERMITTED FACILITYOOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING �oMPLA1NTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00Ptn (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0136 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. 'BOXED AREA-EHD USE ONLY' <br /> Letile . (A5 ONtit <br /> -t La A Vr^ Aswan if-AN4, AMA 410- 044&C0,4C0oe-0!_ At 10/- <br /> (('7 <br /> or3 v b 9 qu l'i0 A- 1577 are' I-kv Ble for 1111011, to 41. <br /> J �. Ll�csu3dv L ql S 4,n o �3atr�'M`�e. t./ � Ic. d 12w� I�r. <br /> ❑ Records <br /> provided by St ff-PPR Comple e. Staff Name: J,,le (0),Apkt:4OKCC C N 3 0,% <br /> FHn a6.66 4!26/14 <br /> Received Time Jun. 2, 2015_2 ', 17P.WNo. 8865 �>lelUSrLl/eg�,rllWoA7wv�� v im . <br />